Job Description

Job Title: LTSS Service Care Manager

Location: Remote with Member Facing in Ft Myers/Lehigh Acres, Florida

Mon-Fri 8A-5P

Day-to-Day Responsibilities:

• Manage a case load of healthcare members with long-term care needs.
• Monthly and quarterly member contact, including 80% travel. Remote role requiring a driver’s license.
• Complete member assessments with caregivers or providers to gather information for care plan development.
• Monitor service delivery, ensuring that services are provided without gaps. Follow-up with members, caregivers, or providers through in-person visits and telephonic contact.
• Authorize and coordinate service referrals, ensuring functional deficiencies are identified and addressed in care plans.
• Assist in coordinating the development of informal or voluntary services within the member care plan.
• Collaborate with discharge planners, physicians, and other parties to ensure a proper discharge plan, care plan, and coordination of services.
• Assist members in filing and resolving complaints and appeals.

Required Skills/Experience:

• 2+ years of Care Management experience
• Experience with electronic medical health records
• Bilingual (Spanish)

Preferred Skills/Experience:

• Home health experience
• Long-term care experience
• Discharge planning experience
• Proficiency in Microsoft Office

Education Requirements:

• Bachelor’s degree
• 2-4 years of related experience

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